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Vermont rates for HCPCS L5970

All Lower Extremity Prostheses Foot External Keel Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.61 / $158.61 / $183.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $238.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $197.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $238.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.91 / $197.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.10 / $192.53 / $375.73